The Court of Appeal clarified that in considering the fairness of a dismissal on grounds of illness-related capability, the tribunal may consider the fact that the employer caused the illness but this will not preclude a finding that, in the particular circumstances, the dismissal was within the range of reasonable responses and, therefore, fair. In this case there was no viable alternative to dismissal as the individual would not return to work and this decision was supported by medical evidence. Where the employer is responsible for the employee's illness, it may be expected to make a particular effort to find alternative employment or put up with a longer period of sickness absence than would otherwise be reasonable. (RBS v McAdie).